Brunner gland hyperplasia in the duodenal bulb with associated giardia lamblia infection. Giardia lamblia is prevalent throughout the world. In the developing countries the prevalence rates are high. These organism infects the small intestine and may cause acute diarrhea. Frequently there is sudden of explosive, watery, foul-smelling diarrhea accompanied by abdominal distention and flatulence or chronic malabsorption, abdominal pain or any class of dyspepsia.
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